Patient Access Representative, Adult Primary Care Maurice Clinic

FMOLHS•Maurice, LA

About The Position

The Patient Access Representative accurately registers patients in the electronic medical record, validates patient information, verifies insurance coverage, collects required payments, and helps ensure a high-quality patient experience. The role follows established guidelines and works under close supervision. It supports patient access and clinic operations through customer service, patient-flow coordination, billing and payor-related tasks, and other assigned duties.

Requirements

High school diploma or equivalent.
Six months of experience in a customer service or front-desk role, or graduation from a front-office or medical-office program; a bachelor's degree may substitute for experience.
Professional demeanor and excellent customer-service skills.
Ability to multitask and think critically.
Demonstrated computer literacy and ability to learn and demonstrate proficiency in Epic during the introductory period.

Responsibilities

Courteously explain collection and billing procedures and anticipated charges to patients, and respond appropriately to patient and family questions and concerns.
Welcome patients and families to the clinic and provide information about patient rights and Advance Directives upon request.
Obtain, verify, edit, and update patient and insurance information in the clinic computer system and patient records.
Register patients in Epic, monitor patient flow, review schedules and accounts, determine financial responsibility, and arrange payment plans.
Assist patients in accessing government and community resources and information such as MyChart.
Coordinate with physicians, nurse practitioners, and nursing staff to complete referrals in accordance with payor requirements and in a timely manner.
Enter patient charges as necessary and accurately process referral documentation.
Schedule and reschedule appointments and complete clerical duties, including answering telephone calls, retrieving medical records, recording data, and typing memorandums.
Maintain and file current patient charts and information for efficient retrieval.
Research claim edits, denials, billing information, and discrepancies, and resolve issues within the stated timelines.
Key charges and process batches daily; balance payments to receipts and prepare bank/deposit summaries.
Review diagnosis and procedure codes for accuracy and enter information into the system at the point of service.
Verify and collect patient payments, confirm account balances, collect outstanding balances, and reconcile the daily cash fund.
Maintain general knowledge of health plans, including co-pays, deductibles, and co-insurance; handle cash securely and according to established policies and procedures.
Meet site collection goals.
Back up other clinic staff as needed, support clinic, hospital, and health-system improvement initiatives, and provide training or orientation to team members when assigned.
Perform other duties as assigned.